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Individual

LEAH BURCH ROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
201A BAY AVE, RICHTON, MS 39476-9671
(601) 583-1559
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29171
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04921851
MS
Enumeration date
04/06/2018
Last updated
02/02/2023
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